Jill Wruble (NPI# 1396717666, PAC ID# 3173515632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1396717666 |
| PAC ID by PECOS | 3173515632 |
| Professional Enrollment ID | I20060822000251 |
| Full Name | Jill Wruble |
| Organization Legal Name | WESTERN NASSAU DIAGNOSTIC IMAGING SERVICES P.C. |
| Address |
115 W Sunrise Hwy Freeport NY 11520-3627 |
| Phone Number | 5165469200 |
| Gender | F |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8820902653 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 W Sunrise Hwy, Freeport, NY 11520-3627 | 5165469200 | WESTERN NASSAU DIAGNOSTIC IMAGING SERVICES P.C. |
| Organization Legal Name | WESTERN NASSAU DIAGNOSTIC IMAGING SERVICES P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Surendra V Pawar | Diagnostic Radiology | Western Nassau Diagnostic Imaging Services P.C. | 115 W Sunrise Hwy, Freeport, NY 11520-3627 |
| Shirish Thanawala | Diagnostic Radiology | Western Nassau Diagnostic Imaging Services P.C. | 115 W Sunrise Hwy, Freeport, NY 11520-3627 |
| Street Address |
115 W SUNRISE HWY |
| City | FREEPORT |
| State | NY |
| Zip | 11520-3627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Surendra V Pawar | Diagnostic Radiology | Western Nassau Diagnostic Imaging Services P.C. | 115 W Sunrise Hwy, Freeport, NY 11520-3627 |
| Shirish Thanawala | Diagnostic Radiology | Western Nassau Diagnostic Imaging Services P.C. | 115 W Sunrise Hwy, Freeport, NY 11520-3627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott V Rankin | Internal Medicine | 276 Moore Ave, Freeport, NY 11520-1042 | |
| Francis P Dooley | Nurse Practitioner | Catholic Charities of The Diocese of Rockville Centre | 333 N Main St, Freeport, NY 11520-1231 |
| Bruce K Darroch | Clinical Social Worker | Catholic Charities of The Diocese of Rockville Centre | 333 N Main St, Freeport, NY 11520-1231 |
| Judith R Ehrenfeld | Certified Clinical Nurse Specialist (cns) | 42 Oakfield Ave, Freeport, NY 11520-1936 | |
| Iheanyichukwu Aja-onu | Gastroenterology | 3 N Main St, Freeport, NY 11520-2218 | |
| Sonia Jamil | Family Medicine | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Ivelisse Guevara Reyes | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Rosemary B Estrella | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Maria Isabel Goncalves | Nurse Practitioner | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Franco A Vallejo Garcia | Endocrinology | Jacqueline Delmont Md PC | 55 N Main St, Freeport, NY 11520-2243 |
| Find all physicians in zip 11520 | |||
| City | FREEPORT |
| Zip Code | 11520 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FREEPORT + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.